Article

Effects of Patient-Centered Care on Patient Outcomes: An Evaluation

University of Toronto, Faculty of Nursing, Ontario, Canada.
Research and theory for nursing practice (Impact Factor: 0.36). 02/2008; 22(1):24-37. DOI: 10.1891/0889-7182.22.1.24
Source: PubMed

ABSTRACT

The purposes of this study were to determine the extent to which acute care nurse practitioners (ACNPs) provide patient-centered care (PCC) and to explore the effects of PCC on patients' functional status, self-care ability, and satisfaction with care. A nonexperimental design with repeated measures was used. The sample included 320 patients with acute medical and surgical conditions. Patients perceived that ACNPs provided PCC, operationalized as encouraging patients to participate in care and individualizing care to a moderate extent. Implementation of these PCC components was positively associated with some domains of self-care ability and satisfaction with care. Further investigation of the contribution of PCC to outcomes is recommended.

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    • "Published literature on person-centered care, treatment engagement, and recovery-oriented approaches has by guest on January 20, 2015 jiv.sagepub.com Downloaded from started to show that involving service users in care processes results in better outcomes (Resnick & Rosenheck, 2008; Sidani, 2008; Warner, 2010). "
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    ABSTRACT: Previous literature has highlighted a number of concerns about forensic care and rehabilitation by those who use the services. The Good Lives Model (GLM) is a strength-based, humanistic approach to offender rehabilitation that has been largely overlooked by forensic mental health practitioners. This study explored the impact of a brief GLM program on forensic service users' perceptions of rehabilitation, both within and beyond therapeutic programs, using a thematically linked, multiple-case study research design. Pre-post comparisons of participants' perceptions of rehabilitation suggested three different outcomes: definite change, subtle change, and no change. Possible factors associated with participants' divergent experiences included level of exposure to the GLM, readiness to change, and practitioners' adherence to the GLM and experience with the model. The importance of attending to the wider system for successful implementation of this innovative approach is highlighted. © The Author(s) 2015.
    Full-text · Article · Feb 2015 · International Journal of Offender Therapy and Comparative Criminology
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    • "According to a concept analysis by Morgan and Yoder (2012), person-centred care can be defined as " a holistic (bio-psychosocial-spiritual) approach to delivering care that is respectful and individualized, allowing negotiation of care, and offering choice through a therapeutic relationship where persons are empowered to be involved in health decisions at whatever level is desired by that individual who is receiving the care " (Morgan & Yoder, 2012, p. 8). Patient-centred care is associated with increased patient satisfaction with care, increased quality of life and improved self-care ability (Sidani, 2008; Wolf et al., 2008; Poochikian-Sarkissian et al., 2010; Suhonen et al., 2012). Core elements of all definitions of patient-centred care are good patient-health care provider communication and patient involvement in decision-making about care (Kitson et al., 2013). "
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    ABSTRACT: Background: Nursing bedside handover has been reported as a method to foster patients’ participation in their care. However, to date, no study has assessed the effect of implementing nursing bedside handover on patients’ perception of being involved in the decision-making process of their care and the side effects of nursing bedside handover. Aim: This study aims to evaluate the effect of nursing bedside handover on patients’ perception of shared-decision making in nursing care and the side effects of nursing bedside handover. Method: Single-centre, non-experimental study. Results: There were no statistically significant differences regarding patients’ perception of decision-making aspects. Before and after implementation of nursing bedside handover, most patients perceived the style of the decision-making process about their nursing care as paternalistic. No side effects of nursing bedside handover implementation could be detected. During implementation of nursing bedside handover nurses expressed distress with and showed a defensive attitude toward nursing bedside handover. Conclusion: The implementation of nursing bedside handover has no influence on patients’ perception of shared-decision making in nursing care and side effects in a cardiovascular surgery patient population. Evaluation of nursing bedside handover should be conducted over a period longer than three months.
    Full-text · Article · Sep 2014
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    • "Published literature on person-centered care, treatment engagement, and recovery-oriented approaches has by guest on January 20, 2015 jiv.sagepub.com Downloaded from started to show that involving service users in care processes results in better outcomes (Resnick & Rosenheck, 2008; Sidani, 2008; Warner, 2010). "
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    ABSTRACT: The aim of this qualitative study was to explore perspectives on rehabilitation of those detained in a New Zealand forensic hospital setting. Twenty forensic service users participated in individual interviews, which were audio-taped, transcribed verbatim, and subjected to thematic analysis. The analysis identified seven themes that were broadly categorized into those that concerned the rehabilitation context (external) and those that more directly reflected the forensic service user's personal experience (internal). External themes highlighted a person-centered approach, the nature of relationships with staff, consistency of care, and awareness of the rehabilitation pathway. Internal themes related to forensic service users' self-evaluations, agency, and coping strategies. These findings are discussed within the broader context in which rehabilitation took place.
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